inforMED
MalfunctionBYG

OXYMASK

Received Sep 14, 2022

Report 8022003-2022-00002 · MDR key 15422006

Device

Generic name

Oxygen Mask

Manufacturer

Southmedic Inc.

Model number

OM-1425-8

Catalog number

OM-1425-8

Product problems

  • Incomplete or Inadequate Connection
  • Incomplete or Inadequate Connection

Patient

Male

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE LOT NUMBER OF THE MASKS IS/ARE NOT KNOWN. END USER HAS STATED THAT THE TUBING HAS A RAISED RING OF MATERIAL AT THE END OF THE DETACHED TUBING. THIS DEMONSTRATES THAT THE SOLVENT PRESENCE WAS SUFFICIENT AND ABLE TO BOND THE TWO MATING COMPONENTS. THEREFORE; THE DEVICE IS ASSUMED TO BE MANUFACTURED AS INTENDED. COMPLAINT VERIFICATION COULD NOT BE PERFORMED AS NO SAMPLE WAS RETURNED AND THE LOT NUMBER WAS NOT PROVIDED.

Description of Event or Problem

END USER REPORTED HAVING THREE MASKS WITH TUBING THAT LATER DETACHED AT NIGHT, WHILE SLEEPING (TUBING WAS CONNECTED PROPERLY IN THE BAG AND CAME OUT AFTER). EACH MASK WITH THE DETACHMENT ISSUE WAS USED FOR ROUGHLY ONE MONTH.